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Generating Jaw Bone for Successful Dental Implants

Bone Grafting for Dental Implants

Bone grafting is a surgical procedure used to replace or augment (add) bone in the body.

In the context of dental implants, bone grafting is typically used to improve the quality and quantity of bone in the jaw, providing a solid foundation for dental implants.

The success of dental implant surgery depends largely on the quality and quantity of the jawbone, making bone grafting a vital procedure for many patients.

Dental implant surgery protocol necessitates that, for immediate dental implant, bone grafting must be done.

Why Bone Grafting is Important in Dental Implants Procedure

Bone grafting is an important procedure that plays a critical role in the success of dental implant surgery.

Let's see how "bone grafting benefits dental implants patients"

 Increased success rates: Bone grafting helps to provide a stable foundation for dental implants, increasing the likelihood of successful integration with the surrounding bone tissue.

 Improved oral function : Dental implants can help restore oral function, and bone grafting can ensure that the implant functions properly and is able to withstand the pressures of chewing and speaking..

 Esthetic improvements : By providing additional bone tissue, bone grafting can help to create a more natural-looking appearance, improving the aesthetics of the smile.

 Prevention of future bone loss : Bone grafting can help to prevent further bone loss in the jaw, preserving the overall health of the mouth and preventing future complications.

 Increased treatment options : In some cases, bone grafting may be necessary to enable patients who were previously not candidates for dental implant surgery to receive treatment.

Types of Bone Grafts

Autogenous bone grafts

This type of graft involves using bone tissue from another part of the patient's body, typically the hip, chin, or lower jaw.

This tissue is typically considered the "gold standard" for bone grafting due to its high success rate and low risk of rejection.

Allografts

An allograft involves using bone tissue from a donor, typically a cadaver (true human bone graft). This type of graft is often used when the patient does not have enough bone tissue available for an autogenous graft or doesnt want another invasive procedure. 

These are considered best alternative to autogenous bone grafts and are non-invasive method to harvest the graft.

Xenografts

A xenograft involves using bone tissue from another species, typically a cow or pig. The tissue is processed to remove any biological material, leaving only the mineral component of the bone.

This type of graft is often used when the patient does not have enough bone tissue available for an autogenous or allograft.

Synthetic bone grafts

Synthetic bone grafts are made from materials like calcium phosphate, which mimic the properties of natural bone.

This type of graft is often used in cases where there is a limited supply of natural bone tissue available.

 How Bone Grafting is Done for Dental Implants

There are several different bone grafting procedures that may be used in dental implant surgery, depending on the individual patient's needs. Some of the most common procedures include:

Socket Preservation

This procedure involves placing bone graft material in the socket of a recently extracted tooth.

Mostly done in the cases where, delayed dental implant is planned after the extraction of tooth.

The goal is to prevent the bone from resorbing so that enough bone is available for implant.

Block bone grafting

Block bone grafting involves taking a block of bone from the patient's jaw or another part of the body and transplanting it to the site of the dental implant.

This type of graft is often used when a large amount of bone tissue is needed to support the implant.
This is an invasive procedure, unlike other procedures.

Sinus lift or augmentation

A sinus lift or augmentation involves placing bone graft material in the upper jaw, in the area of the maxillary sinuses.

This procedure is often used when there is not enough bone in the upper jaw to support a dental implant.

 After Bone Grafting Recovery and Healing Process

Recovery from bone grafting surgery typically takes several months, depending on the type of graft and the extent of the procedure. During this time, the body will gradually replace the graft material with new bone tissue.

Patients will need to follow a strict regimen of care during the recovery period, which may include:

Avoiding hard or crunchy foods

Taking medication as prescribed

Keeping the mouth clean with gentle brushing and rinsing

Attending follow-up appointments with the dentist or oral surgeon

Additional precautions post sinus lift, Please check sinus lift section.

 Risks and Complications of Bone Grafting in Dental Implants

Although complications from bone grafting surgery are rare, they can occur. Some of the most common risks and complications include:

 Infection : Infection is a risk with any surgical procedure. Patients may be prescribed antibiotics to help prevent infection.

 Rejection or failure of the graft : Although rare, the body may reject the graft material or the graft may fail to integrate with the surrounding bone tissue.

 Nerve damage : The nerves in the jaw can be damaged during bone grafting surgery, leading to numbness or tingling in the face and mouth.

 Sinus complications : In cases where a sinus lift or augmentation is performed, complications may arise if the graft material is improperly placed or migrates into the sinus cavity.

When choosing a dentist for bone grafting in dental implants, patients should look for a doctor who is experienced in performing the procedure. It is also important to ask questions during the consultation to ensure that the provider has a thorough understanding of the patient's needs and concerns.

 Cost of Bone Graft in India

The cost of bone grafting for dental implants can vary depending on the type of graft and the extent of the procedure.

Type of GraftCost (in INR)Time TakenBrandDescription
Autograft200002-3 hoursN/AHarvested from the patient's own body, often the hip or jaw, and transplanted to the implant site. Considered the most effective, but also the most invasive and costly option.
Allograft70001-2 hoursRegenOssHarvested from a donor source, often a bone bank, and used to augment the patient's existing bone tissue. Typically less invasive and less costly than autografts.
Xenograft35001-2 hoursOsseograftHarvested from a non-human source, such as bovine or porcine bone, and used to provide additional bone tissue. Generally considered safe and effective, but may not integrate as well as autografts or allografts.
Synthetic Graft80001 hourOsstemMade of artificial materials, such as hydroxyapatite or calcium phosphate, and used to provide additional bone tissue. Typically the least invasive and least costly option, but may not be as effective as other graft types.

 The decision  to use a particular type of graft is on the Implantologist .

 Selction of Type of Bone Graft for Dental Implant Surgery

Selecting a bone graft depends on various factors such as the size and shape of the defect or site, the degree of bone resorption, the patient's medical history and overall health, the implant site's location and the available space for bone regeneration.

Based on these factors, the implantologist may choose from a range of bone graft materials, including autogenous, allogeneic, xenogeneic, and synthetic bone grafts.

Each type of bone graft material has its advantages and disadvantages, and the implantologist weighs the benefits and risks of each option to select the most suitable one for the patient's needs.

Furthermore, the implantologist considers the bone grafting technique to use, as different techniques are appropriate for different types of bone defects.

Your implantologist may use block grafting, socket grafting, sinus lift, or ridge expansion, among others, to achieve successful bone regeneration before dental implant placement.

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